Organization
MEDICAL EQUIPMENT SPECIALISTS
Active
Other names
Motum Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK JON KOLACINSKI (CEO)
(470) 249-9869
Entity
Organization
Contact information
Practice address
380 DAHLONEGA ST STE 103, CUMMING, GA 30040-8212
(470) 253-8067
(678) 807-2998
Mailing address
5920 BOULDER BLUFF DR, CUMMING, GA 30040-1144
(470) 249-9869
(678) 807-2998
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000804504A
—
GA
Enumeration date
07/05/2005
Last updated
10/10/2024
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